Co-axial hot swappable system for minimally invasive medical procedures

• US 9,504,479 B2
• Filed: 03/10/2014
• Issued: 11/29/2016
• Est. Priority Date: 03/11/2013
• Status: Active Grant

• Current Assignee: Eca Medical Instruments
• Original Assignee: Eca Medical Instruments
• Inventors: Nino, John, Ivinson, David
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US14/202,855
• Publication Number:
  US 20140257302A1
• Time in Patent Office: 995 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A device and method of delivering a medical tool which may be a resector, cutter, probe, or the like, including a memory arm compacted in a small diameter state which expands in a relaxed memory state, is disclosed. Said delivery may include using a hollow sheath to pre-compact or preload a memory blade into a compact position, transferring said compacted memory blade into a cannula, and deploying said memory blade from the distal end of said cannula whereby the memory blade returns to its normal expanded memory state and a deployment nut can be used to control the extension or the withdrawal of the memory arm and blade.

Claims

1. A device to perform minimally invasive surgery on a vertebral body using an 11 gauge cannula, the system comprising:

a handle (15) with a shaft (10) less than the internal diameter (i.d.) of an 11 gauge cannula having a memory arm (12) with a blade (11) attached thereto;

said memory arm compactable to a substantially co-axial position within a cannula;

a hollow sheath (40) with a forward tip (42) having an i.d. substantially the same as the diameter of an 11 gauge cannula;

said memory arm compacted into said hollow sheath (40);

an 11 gauge cannula (103) having a distal (104) and a proximal end (106);

the cannula having an interior diameter substantially the same as the i.d. of said hollow sheath; and

, whereby aligning the tip and the proximal end of the cannula provides a pathway for the compacted memory arm and blade to be passed in a compacted state from the hollow sheath into the cannula, wherein the hollow cannula further comprises a mounting (100) corresponding to the forward tip;

a sheath sleeve (50) with a forward end (54) that fits over at least a portion of the hollow sheath; and

, wherein the forward end of the sheath sleeve is threaded (55), and the handle facing side of the cannula mount 120 has corresponding threads.

2. The device of claim 1 wherein the sheath sleeve and hollow sheath are a unitary piece having the i.d. of the hollow sheath and the corresponding threading of the sheath sleeve.

3. The device of claim 2 further comprising sleeve gripping elements extended radially around the unitary hollow sheath and sheath sleeve.

4. The device of claim 1 further comprising sleeve gripping elements (52) extended radially around the sheath sleeve.

5. A system to perform minimally invasive surgery on a vertebral body using an 11 gauge cannula, the system comprising:

a handle (15) containing a rotatable torque limiting device;

a shaft (10) having an outer diameter (o.d.) of less than about 2.33 mm affixed at its proximal end (14) to the torque limiting device;

a memory arm (12) formed as part of the shaft at the distal end of the shaft;

a blade formed at the remote end of the arm;

a hollow sheath (40) with a forward tip (42) having an i.d. of about 2.36 mm surrounding said memory arm and blade whereby said memory arm is compacted therein;

an 11 gauge cannula having an i.d. substantially the same as the i.d. of the hollow sheath; and

, a temporary mount (55) that connects the cannula with the forward tip aligning the sheath with the cannula wherein the blade and memory arm can be inserted into the cannula lumen while maintaining the memory arm'"'"'s compacted state.

6. A system to perform minimally invasive surgery on a vertebral body, the system comprising:

a resecting device (5) with a handle having a neck;

a shaft having a memory arm with a blade affixed at the distal end;

the shaft affixed at its proximal end to said neck;

a cannula with a body affixed at its proximal end;

a lumen within said cannula having a larger i.d. than the o.d. of the shaft and compacted memory arm and blade;

said memory arm and blade compacted within the lumen and slideable within the lumen whereby it may extend out of the cannula'"'"'s distal end;

an adjustable deployment nut (30) movably mounted on the neck whereby it is movable co-axially on said neck;

whereby the deployment nut engages the body and the movement of the deployment nut forward or back on the neck causes the memory arm and blade to slide in or out of the distal end of the cannula; and

one or more positional reference marks (27) visible on the neck.

7. The system of claim 6, wherein the neck and the deployment nut have corresponding threading.

8. The system of claim 7, the resecting device further comprising a hollow sheath, which holds the memory arm and blade in a compacted state allowing for passage to the lumen of the cannula maintaining the compacted state.

9. The system of claim 8, further comprising a body attached to the cannula'"'"'s proximal end which mates with the hollow sheath.

10. The system of claim 9 wherein the blade and memory arm movement out of the distal end of the lumen corresponds to the position of the deployment nut along the threaded neck.

11. The system of claim 9 wherein the movement of the deployment nut along the threaded neck from α

and α

′

corresponds to extension of the memory arm.

12. The system of claim 9 further comprising a sheath sleeve covering at least a portion of the hollow sheath.

13. The system of claim 12 further comprising a gripping elements extended radially around the and sheath sleeve.

14. The system of claim 7 wherein the movement of the deployment nut along the threaded neck from α

and α

′

corresponds to extension of the memory arm.

15. The system of claim 14 further comprising one or more positional reference marks visible on the neck.

16. The system of claim 6 further comprising sleeve gripping elements extended radially around the deployment nut.